Organization
BODY LOUNGE PARK CITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD CHARLES LE CARA DC (CLINICIAN)
(972) 803-4432
Entity
Organization
Contact information
Practice address
6803 HILLCREST AVE, DALLAS, TX 75205-1308
(972) 803-4432
(833) 256-8061
Mailing address
6803 HILLCREST AVE STE 208, DALLAS, TX 75205-1308
(972) 803-4432
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
11/08/2018
Last updated
09/23/2021
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